Healthcare Quality & Process Optimization Auditor

eData Services US, L.L.C.; Taguig; On-site; PHP 480,000 - 660,000; Full time

Job summary

eData Services US, L.L.C. is seeking an Internal Process, Quality & TAT Auditor to safeguard healthcare accounts and ensure SLA targets are met while upholding HIPAA compliance.

You will lead root-cause analysis, drive process improvements across Utilization Review, RCM, and scheduling workflows, and collaborate with Operations Supervisors to rectify bottlenecks and deliver proactive, accurate audit results.

Responsibilities

• Lead root-cause analysis and audits across healthcare operations.
• Drive process improvements across Utilization Review, RCM, and scheduling workflows.
• Collaborate with Operations Supervisors to rectify bottlenecks and deliver proactive, accurate audit results.

Job description

eData Services US, L.L.C. seeks an Internal Process, Quality & TAT Auditor to safeguard healthcare accounts and ensure SLA targets are met while upholding HIPAA compliance. The role focuses on data-driven audits.

You will lead root-cause analysis, drive process improvements across Utilization Review, RCM, and scheduling workflows, and collaborate with Operations Supervisors to rectify bottlenecks and deliver proactive, accurate audit results.